A. Mital et A. Pennathur, Musculoskeletal overexertion injuries in the United States: Mitigating theproblem through ergonomics and engineering interventions, J OCCUP REH, 9(2), 1999, pp. 115-149
Rehabilitating and accommodating injured workers when they return to work i
s a contemporary issue that is being addressed by rehabilitation experts in
a variety of ways. Even though the Americans with Disabilities Act (ADA) a
nd the Occupational Safety and Health Administration (OSHA) are mandating t
hat employers provide reasonable accommodation to returning workers, it is
the need to control increasing workers' compensation costs that is forcing
employers to rethink their injury management strategies. Historically, the
preventive approach has been advocated by ergonomists in the belief that al
l injuries can be prevented. However; available injury data from different
sources, such as the National Safety Council and the Bureau of labor Statis
tics presented in the initial sections of this paper show that both the inc
idence and costs of occupational injuries in the United States continue to
rise. It is clear, that no matter what preventive measures are taken, some
injuries will happen. With this in mind, this paper examines the current in
jury management approach, and suggests an integrated injury management mode
l incorporating the principles of ergonomics and engineering design, and th
e principles of disability management. Further this paper highlights ergono
mics interventions that industries should follow for injury management. The
paper also provides guidelines and recommendations from ergonomics researc
h for identification, quantification, and control of risk factors associate
d with musculoskeletal injuries of the back and the upper extremities.